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November 14, 2007

Bone Densitometry and Treatment for Osteoporosis in Older Men

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;298(18):2136-2137. doi:10.1001/jama.298.18.2136

To the Editor: In their cost-effective analysis of screening bone densitometry followed by alendronate therapy for older men diagnosed with osteoporosis, Dr Schousboe and colleagues1 conclude that mass screening may be cost-effective for men aged 65 years or older with a prior clinical fracture and for men aged 80 to 85 years without a prior fracture. However, the Markov model used in their analysis does not consider functional status to define the base-case population and the health states.

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